MOLLY SAMUELSON - NPI 1972006823 - Marriage & Family Therapist in Bloomington, MN

Q: What is the provider's specialty?

The provider's specialty is Marriage & Family Therapist with taxonomy code 106H00000X.

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About Molly Samuelson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOLLY SAMUELSON (NPI 1972006823) is an individual marriage & family therapist in Bloomington, Minnesota, licensed in (3243) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972006823

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMOLLY SAMUELSON

Location Address5221 VIKING DR STE 300Bloomington, MN 55435-5323

Mailing Address5221 Viking Dr Ste 300Bloomington, MN 55435-5323 · (612) 849-4792

Phone(612) 849-4792

Sole ProprietorNo

Enumeration DateMarch 16, 2018

Last NPPES UpdateOctober 10, 20222 updates tracked since enumeration

NPPES CertifiedOctober 10, 2022

✔ NPI 1972006823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed · 3243

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

5221 VIKING DR STE 300, Bloomington, MN 55435

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Other Identifiers 1

Other260611763MN · Tax Identification

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Molly Samuelson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIN ELIZABETH SHOBE M.A., LMFT

Marriage & Family Therapist